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SHAWN C. KELLY M.D.
NPI 1932425329
Internal Medicine - Interventional Cardiology in Great Falls, MT

Active since April 12, 2010PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
1300 28TH ST S FL 2, GREAT FALLS, MT 59405(406) 455-4320(406) 455-4977 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 5, 2023, Apr 2, 2021, Jul 18, 2019 and 3 more (6 updates tracked since 2016).

About Shawn C. Kelly M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWN C. KELLY M.D. (NPI 1932425329) is an individual interventional cardiology provider in Great Falls, Montana, licensed in Montana (67556) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1932425329
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameSHAWN C. KELLYCredential: M.D.
Location Address1300 28TH ST S FL 2Great Falls, MT 59405-5296
Mailing AddressPo Box 6010Great Falls, MT 59406-6010 · (406) 731-8888 · Fax (406) 731-8876
Phone(406) 455-4320
Fax(406) 455-4977
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 12, 2010
Last NPPES UpdateApril 5, 20236 updates tracked since enumeration
NPPES CertifiedApril 5, 2023
✔ NPI 1932425329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in MT · 67556
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
1300 28TH ST S FL 2, Great Falls, MT 59405
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shawn C. Kelly M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062642978
PECOS Enrollment IDI20180828002374
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Shawn Kelly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Benefis Hospitals, Inc.
Same address
General Acute Care Hospital
1101 26TH ST S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 637 clinicians in this Medicare group
NPI 1881650737 (406) 455-5000
Great Falls Clinic LLC
0.3 mi
Multi-Specialty
3000 15TH AVE S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 119 clinicians in this Medicare group
NPI 1801897780 (406) 454-2171
Cmsc, LLC
0.4 mi
General Acute Care Hospital
3010 15TH AVE S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 163 clinicians in this Medicare group
NPI 1639109978 (406) 216-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Great Falls Clinic Hospital

Acute Care Hospitals · Great Falls, MT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number270086
Location3010 15th Avenue SouthGreat Falls, MT 59405 · Cascade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.1
Promoting Interoperability75
Improvement Activities40
Cost62.61

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALFREDO RAFAEL RAMIREZ M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1300 28TH ST S FL 2
GREAT FALLS, MT 59405
Cascade County (406) 455-4320
LAURA SEAMAN FNP-C
Nurse Practitioner (Family)
1300 28TH ST S FL 2
GREAT FALLS, MT 59405
Cascade County (406) 455-4320
AMBER MOLNAR AGACNP
Nurse Practitioner
1300 28TH ST S FL 2
GREAT FALLS, MT 59405
Cascade County (406) 455-4320
MR. MARTIN CAMACHO APRN-RX, ACNP-BC
Nurse Practitioner
1300 28TH ST S FL 2
GREAT FALLS, MT 59405
Cascade County (406) 455-4320
ASHLEY MICHELE CAMPBELL ACNPC-AG
Nurse Practitioner (Acute Care)
1300 28TH ST S FL 2
GREAT FALLS, MT 59405
Cascade County (406) 455-4320
SUPRAJA THUNUGUNTLA
Internal Medicine (Clinical Cardiac Electrophysiology)
1300 28TH ST S FL 2
GREAT FALLS, MT 59405
Cascade County (406) 455-4320
DR. STEVEN LEWIS GOLDBERG M.D.
Internal Medicine (Interventional Cardiology)
1300 28TH ST S FL 2
GREAT FALLS, MT 59405
Cascade County (406) 731-8888
NICHOLAS RECKERS PA-C
Physician Assistant
1300 28TH ST S FL 2
GREAT FALLS, MT 59405
Cascade County (406) 455-4320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawn Kelly's NPI number?

The NPI number for Shawn Kelly is 1932425329. It was assigned to this individual provider in the NPPES registry on April 12, 2010.

Where is Shawn Kelly located?

Shawn Kelly practices at 1300 28th St S Fl 2, Great Falls, MT 59405. The listed phone number is (406) 455-4320.

What is Shawn Kelly's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Shawn Kelly enrolled in Medicare?

Yes. Shawn Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shawn Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Kelly reassigns Medicare benefits to 3 organizations: Benefis Hospitals, Inc. (Great Falls, MT), Great Falls Clinic LLC (Great Falls, MT) and Cmsc, LLC (Great Falls, MT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shawn Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawn Kelly accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Shawn Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shawn Kelly affiliated with any hospitals?

According to CMS data, Shawn Kelly is affiliated with Benefis Hospitals Inc and Great Falls Clinic Hospital.

When was this NPI record last updated?

The NPPES record for Shawn Kelly was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.